Surgical Treatment of Inferior Alveolar Nerve Injuries

We reviewed 201 unruptured vertebro-basilar aneurysms encountered at our institute and 35 affiliated hospitals over the past 8 years. Of these, 106 aneurysms in 103 patients were treated with surgical or endovascular approaches: 43 aneurysms, surgically with clipping or wrapping; and 63 endovascularly with embolization. Outcome was excellent or good in 87 patients (84.5%). Among 24 patients with 36 complications, 16 had unfavorable outcomes including five deaths. Twelve patients (27.9%) with surgical treatment and two (3.3%) with endovascular treatment had unfavorable results because of treatment-related complications. Two patients with surgical treatment had complications related to perioperative management. Vascular occlusive complications were likeliest to occur in surgically treated basilar artery aneurysms (41%). Among surgically treated aneurysms the vertebral artery site was relatively associated with cranial nerve injuries. Complications numbered 36, occurring in 24 patients and 54% of complications affected outcome. Overall morbidity and mortality of surgical treatment were 18.6% and 7.0%, respectively, while those of endovascular treatment were 5.0% and 3.3%. In conclusion, complications of surgery tend to be serious and affect outcome, and endovascular treatment is safer than surgical for vertebro-basilar aneurysms. Embolizations are particularly advantageous for patients who are poor surgical risks.

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Iatrogenic Peripheral Nerve Injuries—Surgical Treatment and Outcome: 10 Years' Experience

World Neurosurgery ◽

10.1016/j.wneu.2017.04.099 ◽

2017 ◽

Vol 103 ◽

pp. 841-851.e6 ◽

Cited By ~ 20

Author(s):

Lukas Rasulić ◽

Andrija Savić ◽

Filip Vitošević ◽

Miroslav Samardžić ◽

Bojana Živković ◽

...

Keyword(s):

Surgical Treatment ◽

Peripheral Nerve ◽

Peripheral Nerve Injuries ◽

Nerve Injuries

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Inferior Alveolar Nerve Injuries Associated with Mandibular Fractures at Risk: A Two-Center Retrospective Study

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0034-1375169 ◽

2014 ◽

Vol 7 (4) ◽

pp. 280-283 ◽

Cited By ~ 6

Author(s):

Paolo Boffano ◽

Fabio Roccia ◽

Cesare Gallesio ◽

K. Karagozoglu ◽

Tymour Forouzanfar

Keyword(s):

At Risk ◽

Retrospective Study ◽

Medical Center ◽

Maxillofacial Surgery ◽

Inferior Alveolar Nerve ◽

Mandibular Fractures ◽

Nerve Injuries ◽

Mandibular Angle ◽

Maxillofacial Fractures ◽

Angle Fractures

The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments—Department of Maxillofacial Surgery, Vrije Universiteit University Medical Center, Amsterdam, the Netherlands, and Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Demographic, anatomic, and etiology variables were considered for each patient and statistically assessed in relation to the neurosensory IAN impairment. Statistically significant associations were found between IAN injury and fracture displacement ( p = 0.03), isolated mandibular fractures ( p = 0.01), and angle fractures ( p = 0.004). A statistically significant association was also found between IAN injury and assaults ( p = 0.03). Displaced isolated mandibular angle fractures could be considered at risk for increased incidence of IAN injury. Assaults seem to be the most important etiological factor that is responsible for IAN lesions.

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A Four-Year Monocentric Study of the Complications of Third Molars Extractions under General Anesthesia: About 2112 Patients

International Journal of Dentistry ◽

10.1155/2013/763837 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 5

Author(s):

A. Guerrouani ◽

T. Zeinoun ◽

C. Vervaet ◽

W. Legrand

Keyword(s):

General Anesthesia ◽

Inferior Alveolar Nerve ◽

Third Molar ◽

Lingual Nerve ◽

Third Molars ◽

Nerve Injuries ◽

Third Molar Extraction ◽

Discharge From Hospital ◽

Clear Information ◽

Tooth Section

Introduction. The aim of this study was to assess the complications resulting from third molar extraction under general anesthesia.Material and Methods. The retrospective study included all patients who underwent impacted third molars extraction from January 2008 until December 2011. 7659 third molars were extracted for 2112 patients. Postoperative complications were retrieved from medical files.Results. No complications were related to general anesthesia. The most frequent postoperative complication was infection (7.15%). Lingual nerve injuries affected 1.8% of the patients. All of them were transient and were not related to tooth section. Inferior alveolar nerve injuries were reported in 0.4% of the cases. 95.8% of these patients were admitted for one-day ambulatory care, and only two patients were readmitted after discharge from hospital.Discussion. This surgical technique offers comfort for both surgeons and patients. Risks are only linked to the surgical procedure as we observed no complication resulting from general anesthesia. One-day hospitalization offers a good balance between comfort, security, and cost. The incidence of complications is in agreement with the literature data, especially regarding pain, edema, and infectious and nervous complications. It is of utmost importance to discuss indications with patients, and to provide them with clear information.

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